Assignment due Wednesday by 11pm EST

Anonymous
timer Asked: Oct 29th, 2018
account_balance_wallet $50

Question description

I will attach the treatment plan I submitted for her last week. I didn't do too well. I was asked to fill out a treatment plan template and then write a report. Here is what the instructors feedback was.

"The diagnosis presented in the template is not supported by the information in the scenario. You also did not include goals and objective on the template. In your write-up there is only minimal justification of claims."

This new assignment is basically a revision from the last one. I am attaching the empty template for you to redo for this assignment and I am also attaching last weeks assignment that I turned in so you can see what I wrote. Hopefully you can create a better revised version based on this weeks assignment instructions.


Here is the new assignment

In Topic 5, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza’s case. Since the mandatory assessment two weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.

Part 1: Review the initial Treatment Plan submitted in Topic 5.

  1. Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.
  2. Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:

  1. Examine the case and propose why the changes occurred.
  2. Reassess the effectiveness and validity of the treatment plan.
  3. Discuss how the treatment plan needs to be adjusted to address the changes in the situation.
  4. Justify the changes both ethically and legally.
  5. Determine what the changes (obstacles) mean to the treatment plan.
  6. Discuss how you would evaluate the resources available for you to make a referral.
  7. Discuss how you would communicate to the client the need for referrals to other providers.
  8. Determine which referrals you would make and which you might suggest to the client.
  9. Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

Treatment Plan Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan. Client: ____________________________________________ Date: ______________ Age:______ DOB: __________________ DSM Diagnosis ICD Diagnosis Goals / Objectives: □ Mood Stabilization □ Anxiety Reduction □ Reduce Obsessive Compulsive Behaviors Interventions: Frequency: □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Emotion Recognition – Regulation Techniques □ Group □ Individual □ Family □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Relaxation Techniques □ Group □ Individual □ Family □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved. □ Decrease Sensitivity to Trauma Experiences □ Verbalize Memories Triggers & Emotion □ Weekly □ Bi Weekly □ Monthly □ Desensitize Trauma Triggers and Memories □ other: ____________________ □ Utilize Healing Model/Support (Mending the Soul) □ Group □ Individual □ Family □ Establish and Maintain Eating □ Overcome Denial □ Identify Disorder Recovery Negative Consequences □ Maintain Abstinence from substances (Alcohol/Drugs) □ Weekly □ Bi Weekly □ Monthly □ Menu Planning □ Nutrition Counseling □ Body Image Work □ other: ____________________ □ Healthy Exercise □ Trigger Mngmt Recovery Plan □ CBT □ Group □ Individual □ Family □ Substance Use Assessment □ Stepwork □ Overcome Denial □ Identify Negative Consequences □ Commitment to Recovery Program □ Attend Meetings □ Obtain Sponsor □ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family □ Increase Coping Skills □ DBT Skills Training □ Problem Solving Techniques □ Weekly □ Bi Weekly □ Monthly □ Emotion Recognition & Regulation □ Communication Skills □ other: ____________________ □ Group □ Individual □ Family □ Stabilize, Adjustment to New Life Circumstances □ Alleviate Distress Behavior Therapy □ Cognitive □ Weekly □ Bi Weekly □ Monthly □ Stress Management □ Skills Training □ other: ____________________ □ Improve Daily Functioning □ Develop Healthy Support □ Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved. □ Decrease/Eliminate Self Harmful Behaviors □ Cognitive Behavior Therapy □ Skills Training □ Weekly □ Bi Weekly □ Monthly □ Develop and Utilize Support System □ other: ____________________ □ Group □ Individual □ Family □ Improve Relationships □ Communication Skills □ Active Listening □ Family Therapy □ Assertiveness □ Setting Healthy Boundaries □ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family □ Improve Self Worth □ Affirmation Work □ Positive Self Talk □ Skills Training □ Weekly □ Bi Weekly □ Monthly □ Confidence Building Tasks □ other: ____________________ □ Group □ Individual □ Family □ Grief Reduction and Healing from Loss □ Develop Anger Management Skills □ Psychoeducation on Grief Process/ Stages □ Weekly □ Bi Weekly □ Monthly □ Process Feeling □ Emotion Regulation Techniques □ other: ____________________ □ Reading/Writing Assignments □ Develop/Utilize Support □ Group □ Individual □ Family □ Decrease Anger Outbursts □ Emotion Regulation Techniques □ Cognitive Behavior Therapy □ Weekly □ Bi Weekly □ Monthly □ Increase Awareness/Self Control □ other: ____________________ □ Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved.
Treatment Plan Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan. Client: Eliza Doolittle __________________ Date: 10/16/2018 Age: 18 DSM Diagnosis ICD Diagnosis 309.89, 300.02 F43.8, F41.1 Goals / Objectives: x Mood Stabilization x Anxiety Reduction □ Reduce Obsessive Compulsive Behaviors Interventions: DOB:******** Frequency: □ Psychotropic Medication Referral & Consultation x Journaling x Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ x Emotion Recognition – Regulation Techniques x Group x Individual □ Family □ Psychotropic Medication Referral & Consultation x Journaling x Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ x Relaxation Techniques □ Group x Individual □ Family □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved. □ Decrease Sensitivity to Trauma Experiences □ Verbalize Memories Triggers & Emotion □Weekly □ Bi Weekly □ Monthly □ Desensitize Trauma Triggers and Memories □ other: ____________________ □ Utilize Healing Model/Support (Mending the Soul) □ Group □ Individual □ Family □ Establish and Maintain Eating □ Overcome Denial □ Identify Disorder Recovery Negative Consequences x Maintain Abstinence from substances (Alcohol/Drugs) □ Weekly □ Bi Weekly □ Monthly □ Menu Planning □ Nutrition Counseling □ Body Image Work □ other: ____________________ □ Healthy Exercise □ Trigger Management Recovery Plan □ CBT □ Group □ Individual □ Family □ Substance Use Assessment □ Step work □ Overcome Denial x Identify Negative Consequences □ Commitment to Recovery Program □ Attend Meetings □ Obtain Sponsor x Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group x Individual □ Family x Increase Coping Skills □ DBT Skills Training x Problem Solving Techniques x Weekly □ Bi Weekly □ Monthly x Emotion Recognition & Regulation x Communication Skills □ other: ____________________ □ Group x Individual □ Family x Stabilize, Adjustment to New Life Circumstances □ Alleviate Distress Behavior Therapy □ Cognitive x Weekly □ Bi Weekly □ Monthly x Stress Management □ Skills Training □ other: ____________________ x Improve Daily Functioning □ Develop Healthy Support x Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved. x Decrease/Eliminate Self Harmful Behaviors x Cognitive Behavior Therapy □ Skills Training x Weekly □ Bi Weekly □ Monthly x Develop and Utilize Support System □ other: ____________________ x Group □ Individual □ Family x Communication Skills □ Active Listening x Family Therapy x Assertiveness x Setting Healthy Boundaries x Improve Relationships x Weekly □ Bi Weekly □ Monthly □ other: ____________________ x Group □ Individual x Family x Improve Self Worth x Affirmation Work x Positive Self Talk □ Skills Training x Weekly □ Bi Weekly □ Monthly x Confidence Building Tasks □ other: ____________________ x Group x Individual □ Family □ Grief Reduction and Healing from Loss □ Develop Anger Management Skills □ Psychoeducation on Grief Process/ Stages □ Weekly □ Bi Weekly □ Monthly □ Process Feeling □ Emotion Regulation Techniques □ other: ____________________ □ Reading/Writing Assignments □ Develop/Utilize Support □ Group □ Individual □ Family □ Decrease Anger Outbursts □ Emotion Regulation Techniques □ Cognitive Behavior Therapy □ Weekly □ Bi Weekly □ Monthly □ Increase Awareness/Self Control □ other: ____________________ □ Group □ Individual □ Family © 2017. Grand Canyon University. All Rights Reserved.
Running head: TREATMENT PLAN 1 Treatment Plan Essay Sahndra Yager Grand Canyon University TREATMENT PLAN 2 Treatment Plan Essay I believe that Eliza falls under the DMS-5 as “other specified trauma and stress related disorder” (apa, 2013) Since Eliza does not have a history of mental illness nor has she been treated in the past for any behavioral issues, it appears that life stressors accompanied with negative past social experiences with her peers have lead up to her current problem. Eliza has low self-esteem as evidenced by her interactions with her peers, her lack of boundaries and assertiveness. Furthermore, Eliza is being brought into the middle of her parents marital problems which is causing her substantial stress. Lastly, it would appear that Eliza has an overprotective mother who displays symptoms of anxiety as well as control issues. Growing up in this environment may have caused Eliza to pick up on some of those anxiety traits and they can also very well be biological. I believe the best treatment for Eliza would be cognitive Behavioral Therapy based with four main focal points. 1. Cognitive restructuring. 2. Learning more effective assertiveness and communication skills. 3. Problem solving skills, and 4. Relaxation techniques. In Cognitive behavioral therapy, cognitive restructuring involves the therapist helping the client to recognize their thoughts and feelings during an event and then look at these thoughts in feelings in terms of them being rational or irrational. For example. If Eliza walks past someone in the hallway at college and she smiles at them and they do not smile back, Eliza may assume that they don’t like her. In cognitive restructuring, the therapist would ask Eliza what evidence she has that this individual does not like her. Then would process with Eliza what other reasons there could be that she didn’t smile back. Could she have been distracted? Could she have been having a bad day? Etc. By constantly being mindful of challenging her thought processes, Eliza will begin to do it automatically and in result have a healthier thinking process. “CBT also TREATMENT PLAN 3 recognizes and successfully uses the influence of thought on behavior and vice versa, as changing the way one acts can often be a powerful means to changing one's thinking and feeling, and a change of mind can lead to new and more effective habits.” (Tullos, Johnson, Dobson, Hays & Wenzel, 2015) Eliza lacks assertiveness in her interpersonal relationships both with her friends and with her parents. Changing this behavior is not something that can be done overnight and many times the client will be afraid of using their voice. Assertiveness training starts with education on appropriate communication techniques and styles such as using I statements. As a therapist I would work with her on using these techniques and use them in role play situations in therapy. When Eliza felt ready, I would challenge her to use assertive communication in her interpersonal relationships. For instance, I would ask Eliza to think of a recent event where she felt that she did not use her voice. I would then challenge Eliza to speak with that person in I statements about how their behavior made her feel. Assertiveness training goes hand in hand with boundary setting. Once Eliza felt more confident in using assertive communication. I would then work with her on boundaries. Again, I would educate Eliza on the difference between having healthy boundaries and having unhealthy ones. We would then practice setting and maintaining boundaries. I would have Eliza journal about boundaries she would like to set in her life and we would work in individual therapy on how she would set them. Once she was ready, I would challenge her to set her first boundary. Additionally, I would inform Eliza that when she sets a boundary, she needs to be willing to reinforce it, so she and I would discuss this in detail and make sure this was something she was ready to do. “A boundary is a demarcation that separates one entity from another. It defines where one thing ends, and another begins. Boundaries can be TREATMENT PLAN 4 geographical, professional, emotional, sexual, spiritual, and physical. In terms of relationships, boundaries describe limits that people set with one another.” (Riggenbach, 2013) Once Eliza has accomplished setting and maintaining boundaries, we would then transition over to problem solving techniques. I would work with Eliza on helping her have a realistic view on what coping is and help her to understand what role emotions play in our ability to problem solve. We would then work on creating a plan that is targeted at reducing her situational stressors and her learning more effective ways to cope with them. This would be accomplished by working with her in therapy on problem solving exercises. Furthermore, Eliza would learn the difference between healthy and unhealthy coping strategies. Lastly, Eliza would be given homework assignments to complete regarding this subject. The last part of her therapy would be learning relaxation techniques. Eliza would learn and practice meditation, mindfulness techniques, breathing techniques and positive self-talk during therapy. She would also be encouraged to practice these techniques at home. I believe that by tackling these issues in Eliza’s life and equipping her with new and healthy ways to communicate, find her voice, and handle stress. Her self-esteem with improve and she will make better choices with people she chooses to be friends with as well as help her improve her relationship with her parents. Lastly, it will help her thought process which will improve her daily functioning and interaction with others. TREATMENT PLAN References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA: Author. Riggenbach, J. (2013). The CBT toolbox: A workbook for clients and clinicians. Tullos, J. M., Johnson, R., Dobson, K. S., Hays, P. A., Wenzel, A., American Psychological Association, & Governors State University. (2015). Cognitive restructuring of automatic thoughts. 5

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Drval
School: UCLA

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Anonymous
Outstanding Job!!!!

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